Joel B Edelstein, D.O.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

1705 Issued in AZ

Practice address

1144 E Jefferson St
Phoenix, AZ 85034-2224

Phone

(480) 606-1011

NPI assigned

Jul 28, 2005

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• LHCG Clxxi, LLC

  dba Casa de la Luz East Valley

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1881296911

  W-2 Managing Employee

  CMS ownership
• Polaris Hospice LLC

  • Community Based Hospice Care Agency
  • Glendale, AZ
  • NPI 1417605130

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anasazi Internal Medicine, P.C.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1245251305
  NPD Authorized official
• George Stecyk M.D.,P.C.

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1811215072
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141

  Internal Medicine

  NPD (past)
• Seasons Hospice & Palliative Care of Arizona, LLC

  dba AccentCare Hospice & Palliative Care of Arizona

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1053609727
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1114927506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342224",
            "telephone_number": "480-606-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "JOEL",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "1705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1705",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227513",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110217771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nezhat M. Edalatian, PH.D., LPC
• Nora Eddy
• Kaleo C Ede, M.D.
• Christopher Edelman
• Alison Dawn Edelstein
• Mitchell E Edelstein
• Eden Recovery Services LLC
• Eden Springs LLC
• Kynda Eden, BCBA
• Vivian Eden, RBT

• Hospice and Palliative Medicine (Internal Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.